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General NPI Number Information
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NPI Number | 1437433711
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Entity Type | Individual
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Provider Name | JANELLE L IRVIN HMC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 14405 W 118TH TER
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City | OLATHE
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State | KS
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Zip | 66062-6582
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Country | US
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Telephone | 913-596-8303
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Fax | 913-538-6262
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Provider Business Mailing Address
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Address Line | 14405 W 118TH TER
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City | OLATHE
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State | KS
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Zip | 66062-6582
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Country | US
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Telephone | 913-596-8303
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Fax | 913-538-6262
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 24-41360-111 IV
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 2441360111IV
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License Number State | KS
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